Revista Brasileira em Promoção da Saúde (Dec 2010)
Aquatic environment as an occupational therapeutic scenario for the development of body scheme in Down syndrome
Abstract
Objective: To assess the effect of aquatic environment while an occupational therapeutic scenario in the development of body scheme of a child with Down Syndrome, considering the therapeutic properties of water. Description of the case: An interventionist research, with a qualitative and descriptive approach, conducted in an adapted pool of the Núcleo de Atenção Médica Integrada (NAMI) of Fortaleza University (UNIFOR), Ceara, during the period of March to May, 2005. The subject of the study was a female child, aged 10 years old, diagnosed with Down Syndrome. Data collection had as instruments an interview guide for anamnesis, an evaluation form of psychomotor development, besides a field diary to record clinical observations during the sessions. This information was organized and analyzed based on clinical reasoning of occupational therapists and then described as a case study. We observed an evolution in the development of skills related to body scheme, such as the perception of fine parts of her own body, as well as large parts in someone else’s body, the imitation of positions, finishing with more active participation in activities of daily living. Final Considerations: We verified the effectiveness of occupational therapeutic activities conducted in aquatic environment for the development of the body scheme of the child in the study. This may be useful for conducting further research on the subject – whose literature is scarce – and contributing to the crescent update of occupational therapy practices.
